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Mustafa Khan, Parwaiz Khalid, Youssef Al-Said, Edward Cupler, Lamia Almorsy, Mohamed Khalifa
Turnaround time is one of the most important healthcare performance indicators. King Faisal Specialist Hospital and Research Center in Jeddah, Saudi Arabia worked on reducing the reports turnaround time of the neurophysiology lab from more than two weeks to only five working days for 90% of cases. The main quality improvement methodology used was the FOCUS PDCA. Using root cause analysis, Pareto analysis and qualitative survey methods, the main factors contributing to the delay of turnaround time and the suggested improvement strategies were identified and implemented, through restructuring transcriptionists daily tasks, rescheduling physicians time and alerting for new reports, engaging consultants, consistent coordination and prioritizing critical reports...
2016: Studies in Health Technology and Informatics
I-Ta Tsai, Meng-Yuan Tsai, Ming-Ting Wu, Clement Kuen-Huang Chen
The conventional method of bone mineral density (BMD) report production by dictation and transcription is time consuming and prone to error. We developed an automated BMD reporting system based on the raw data from a dual energy X-ray absorptiometry (DXA) scanner for facilitating the report generation. The automated BMD reporting system, a web application, digests the DXA's raw data and automatically generates preliminary reports. In Jan. 2014, 500 examinations were randomized into an automatic group (AG) and a manual group (MG), and the speed of report generation was compared...
June 2016: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
Monika A Johansen, ├ůse-Merete Pedersen, Gunnar Ellingsen
This study aimed to investigate the quality-assurance work conducted by medical transcriptionists in the production of medical records, and the implications of these findings when designing a structured electronic patient record (EPR) system in which physicians are supposed to write documentation themselves. Both qualitative and quantitative methods were applied. Qualitative data were collected through informal discussions and focus-group interviews. Quantitative data were collected through the medical transcriptionists' daily recordings of their quality-assurance work...
2015: Studies in Health Technology and Informatics
Michael D Ringler, Brian C Goss, Brian J Bartholmai
Speech recognition software (SRS) has many benefits, but also increases the frequency of errors in radiology reports, which could impact patient care. As part of a quality control project, 13 trained medical transcriptionists proofread 213,977 SRS-generated signed reports from 147 different radiologists over a 40 month time interval. Errors were classified as "material" if they were believed to alter interpretation of the report. "Immaterial" errors were subclassified as intrusion/omission or spelling errors...
2015: Studies in Health Technology and Informatics
Jennifer L Reed, Jill S Huppert, Gordon L Gillespie, Regina G Taylor, Carolyn K Holland, Evaline A Alessandrini, Jessica A Kahn
OBJECTIVES: Important barriers to addressing the sexually transmitted infection (STI) epidemic among adolescents are the inadequate partner notification of positive STI results and insufficient rates of partner testing and treatment. However, adolescent attitudes regarding partner notification and treatment are not well understood. The aim was to qualitatively explore the barriers to and preferences for partner notification and treatment among adolescent males and females tested for STIs in an emergency department (ED) setting and to explore the acceptability of ED personnel notifying their sexual partners...
January 2015: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Gina M A Higginbottom, Jalal Safipour, Sophie Yohani, Beverley O'Brien, Zubia Mumtaz, Patricia Paton
BACKGROUND: many immigrant and ethno-cultural groups in Canada face substantial barriers to accessing health care including language barriers. The negative consequences of miscommunication in health care settings are well documented although there has been little research on communication barriers facing immigrant women seeking maternity care in Canada. This study identified the nature of communication difficulties in maternity services from the perspectives of immigrant women, health care providers and social service providers in a small city in southern Alberta, Canada...
February 2015: Midwifery
Lesley Wilkes, Joanne Cummings, Carol Haigh
AIM: The paper describes and interprets the experiences of transcriptionists employed to translate recorded auditory research, medical, court data into text and specifically when the research is sensitive and the audio source material may be traumatic to hear. BACKGROUND: This study highlights the ongoing need for transcriptionists to be recognized in the ethics process as a potentially vulnerable group who need greater support and debriefing when transcribing sensitive health and social data...
February 2015: Journal of Advanced Nursing
Gary C David, Donald Chand, Balaji Sankaranarayanan
PURPOSE: The purpose of the paper is to determine the instance of errors made in physician dictation of medical records. DESIGN/METHODOLOGY/APPROACH: Purposive sampling method was employed to select medical transcriptionists (MTs) as "experts" to identify the frequency and types of medical errors in dictation files. Seventy-nine MTs examined 2,391 dictation files during one standard work day, and used a common template to record errors. FINDINGS: The results demonstrated that on the average, on the order of 315,000 errors in one million dictations were surfaced...
2014: International Journal of Health Care Quality Assurance
Jong Soo Choi, Woo Baik Lee, Poong-Lyul Rhee
OBJECTIVES: Although Electronic Medical Record (EMR) systems provide various benefits, there are both advantages and disadvantages regarding its cost-effectiveness. This study analyzed the economic effects of EMR systems using a cost-benefit analysis based on the differential costs of managerial accounting. METHODS: Samsung Medical Center (SMC) is a general hospital in Korea that developed an EMR system for outpatients from 2006 to 2008. This study measured the total costs and benefits during an 8-year period after EMR adoption...
September 2013: Healthcare Informatics Research
Satoko Kasahara, Kayoko Yoshizaki, Teppei Yamashita, Hiroshi Takeda
This study evaluates the effects of the medical clerks introduced to reduce physicians' workloads in outpatient clinics by assisting with their documentation processes (e.g., the production of electronic medical records (EMRs)). The volume of information written in narrative text in EMRs from 2007 (pre-introduction of medical clerks) to 2012 (post-introduction) was measured by counting Japanese characters. The total number of medical records for analysis was 1,577. The average number of characters in EMRs increased from before the introduction of medical clerks to afterwards regardless of the types of documents (subjective or objective data) or visits (first or second visits)...
2013: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Carol Person, Minnette Terlep
No abstract text is available yet for this article.
July 2013: Journal of AHIMA
Monique Hennink, Mary Beth Weber
Transcription is central to qualitative research, yet few researchers identify the quality of different transcription methods. We explored the quality of verbatim transcripts from traditional transcriptionists and court reporters by reviewing 16 transcripts from 8 focus group discussions using four criteria: transcription errors, cost, time of transcription, and effect on study participants. Transcriptionists made fewer errors, captured colloquial dialogue, and errors were largely influenced by the quality of the recording...
May 2013: Qualitative Health Research
Bobby Dezfuli, Jordan L Smith
Documentation, coding, and billing for physician-patient encounters have evolved over time and have significant variability. Appropriate and complete documentation of these encounters can contribute to the financial viability of private and academic medical centers. The objectives of this study were to assess the financial effect of documentation on billing and to compare the authors' institution's distribution of billing level compared with Medicare normative data. Four orthopedic surgery subspecialty clinics were evaluated at a university outpatient clinic over a 1-year period...
November 2012: Orthopedics
K Kuru, S Girgin, K Arda, U Bozlar
BACKGROUND: Despite exciting innovation in information system technologies, the medical reporting has remained static for a long time. Structured reporting was established to address the deficiencies in report content but has largely failed in its adoption due to concerns over workflow and productivity. The methods used in medical reporting are insufficient in providing with information for statistical processing and medical decision making as well as high quality healthcare. OBJECTIVE: The aim of this study is to introduce a novel method that enables professionals to efficiently produce medical reports that are less error-prone and can be used in decision support systems without extensive post-processing...
May 2013: International Journal of Medical Informatics
Parsa Hosseini, Arianne Tremblay, Benjamin F Matthews, Nadim W Alkharouf
UNLABELLED: With the advent of next-generation sequencing, -omics fields such as transcriptomics have experienced increases in data throughput on the order of magnitudes. In terms of analyzing and visually representing these huge datasets, an intuitive and computationally tractable approach is to map quantified transcript expression onto biochemical pathways while employing datamining and visualization principles to accelerate knowledge discovery. We present two cross-platform tools: MAPT (Mapping and Analysis of Pathways through Time) and PAICE (Pathway Analysis and Integrated Coloring of Experiments), an easy to use analysis suite to facilitate time series and single time point transcriptomics analysis...
2012: Bioinformation
Warren G Thompson, James A Levine
OBJECTIVE: Time spent sitting increases all-cause mortality. Sedentary occupations are a major contributor to the obesity epidemic. A treadmill desk offers the potential to increase activity while working; however, it is important to make sure that productivity does not decline. The purpose of this study is to evaluate productivity while using a treadmill desk. PARTICIPANTS: Eleven experienced medical transcriptionists participated in the study. METHODS: Transcriptionists were given 4 hours training in the use of a treadmill desk...
2011: Work: a Journal of Prevention, Assessment, and Rehabilitation
Meenakshi Singh, Timothy R Pal
CONTEXT: Voice recognition technology (VRT) has been in use for medical transcription outside of laboratories for many years, and in recent years it has evolved to a level where it merits consideration by surgical pathologists. OBJECTIVE: To determine the feasibility and impact of making a transition from a transcriptionist-based service to VRT in surgical pathology. DESIGN: We have evaluated VRT in a phased manner for sign out of general and subspecialty surgical pathology cases after conducting a pilot study...
November 2011: Archives of Pathology & Laboratory Medicine
Maura D Iversen, Ruchita R Vora, Amber Servi, Daniel H Solomon
PURPOSE: This qualitative study uses a focus group approach to determine factors influencing adherence to osteoporosis medications among older adults. Thirty-two patients aged 65 to 85 years from the Greater Boston area who were prescribed an osteoporosis medication, 11 general medicine physicians, and 1 nurse practitioner were recruited from Boston-based hospitals affiliated with a large health care system. METHOD: Focus groups consisting of 6 to 8 subjects including men and women were held separately for providers and patients and conducted until thematic saturation was reached...
April 2011: Journal of Geriatric Physical Therapy
Tamaki Ichikawa, Takashi Kitanosono, Jun Koizumi, Yoichi Ogushi, Osamu Tanaka, Jun Endo, Takeshi Hashimoto, Shuichi Kawada, Midori Saito, Makiko Kobayashi, Yutaka Imai
OBJECTIVE: We evaluated the usefulness of radiological reporting that combines continuous speech recognition (CSR) and error correction by transcriptionists. MATERIALS AND METHODS: Four transcriptionists (two with more than 10 years' and two with less than 3 months' transcription experience) listened to the same 100 dictation files and created radiological reports using conventional transcription and a method that combined CSR with manual error correction by the transcriptionists...
December 2007: Tokai Journal of Experimental and Clinical Medicine
Rodney H Strahan, Michal E Schneider-Kolsky
PURPOSE: Despite the frequent introduction of voice recognition (VR) into radiology departments, little evidence still exists about its impact on workflow, error rates and costs. We designed a study to compare typographical errors, turnaround times (TAT) from reported to verified and productivity for VR-generated reports versus transcriptionist-generated reports in MRI. METHODS: Fifty MRI reports generated by VR and 50 finalized MRI reports generated by the transcriptionist, of two radiologists, were sampled retrospectively...
October 2010: Journal of Medical Imaging and Radiation Oncology
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